Clinical Case Manager Consultant

At Blue Shield of California, we are dedicated to providing quality healthcare services to our members. As a Healthcare Consultant - Case Management, you will play a critical role in ensuring that our members receive the best possible care.About the RoleIn this position, you will be responsible for managing member needs for specific clinical programs and...

Job SummaryThis role involves providing integrated case management and disease management activities. The successful candidate will work with members, clinical nurses, and treating physicians to develop and implement a plan of care based on comprehensive assessments of the member's needs.

OverviewBlue Shield of CA is seeking a highly skilled Clinical Case Manager to join our team. As a key member of our FEP Care Management Department, you will play a crucial role in delivering high-quality care management services to our members.

Key ResponsibilitiesAs a Case Management Consultant, you will provide information about available resources and assist individuals in identifying the services that are right for them at the time. You will also acknowledge participants' accomplishments, identify barriers to success, and assist participants with problem-solving. Additionally, you will complete...

Job DescriptionWe are seeking a highly skilled Environmental Consultant Project Manager to join our team at Clear Tech Env.OverviewWe are an environmental consulting firm dedicated to providing expert services in industrial hygiene and project management. Our team is passionate about delivering high-quality results and ensuring a safe working environment for...

**About the Role**We are looking for a dedicated and results-driven RN Case Manager to join our team at Blue Shield of CA. As a key member of our FEP team, you will be responsible for delivering high-quality patient care and promoting cost-effective outcomes.**Responsibilities:**Develop and implement comprehensive care plans that meet the unique needs of...

Your Role at Blue Shield of CaliforniaThe Behavioral Health Strategy team at Blue Shield of California ensures members have access to affordable, high-quality care that differentiates the company as a market leader in behavioral health.As a Business Analyst, Consultant, you will report to the Director, Clinical Strategy & Performance. In this role, you will...

Job DescriptionIn this exciting role as a Regulatory Complaint Coordinator, you will be part of a dynamic team that handles appeals, grievances, and inquiries for CalPERS. You will work closely with regulatory agencies, CalPERS members, and other stakeholders to provide excellent customer service while ensuring compliance with regulatory requirements.About...

About the Role:The Clinical Therapist Coordinator will be responsible for coordinating and providing individual and group counseling sessions, as well as conducting assessments and developing treatment plans. You will work closely with our treatment team to ensure seamless care coordination and effective case management.In this role, you will have the...

At Blue Shield of California, we are seeking a skilled Appeals and Grievances Case Manager, Senior to join our team. In this role, you will play a critical part in managing and resolving member appeals and grievances in a timely manner.About the RoleThis position involves answering inquiries, investigating issues, and providing explanations of health plan...

About the RoleWe are seeking a highly organized and detail-oriented individual to be responsible for guiding clients through the personal injury claims process, from the initial consultation to case resolution. You will serve as the primary point of contact for clients, ensuring that their needs are met and that they receive the support and assistance they...

Job OverviewBlue Shield of California is seeking a highly skilled Business Data Analyst and Consultant to join our Behavioral Health Strategy team. As a key member of this team, you will play a vital role in ensuring our members have access to affordable, high-quality care that differentiates us as a market leader in behavioral health.This is a dynamic...

About Our TeamPet Food Express is dedicated to creating a fun and supportive work environment where our employees can thrive. As a Sales Consultant, you will be part of a dynamic team that is passionate about pets and committed to delivering exceptional customer service.Job DescriptionThis role requires a self-motivated individual who is comfortable working...

**Job Summary**Blue Shield of CA is seeking a talented and motivated RN Case Manager to join our team. In this role, you will have the opportunity to make a meaningful impact on the lives of our patients and their families.**Key Responsibilities:**Provide expert-level case management services to patients with complex medical needs.Conduct thorough...

Job DescriptionAs a Case Manager Coordinator with Blue Shield of California's Children's Services Program, you will play a critical role in ensuring that our youngest members receive the care they need to thrive.About the RoleYou will be responsible for identifying, referring, and managing care for Medi-Cal members under 21 years oldYou will collaborate...

Cerulean Consulting Inc.We are a forward-thinking business consulting and sales firm thriving in the local area, renowned for our innovative marketing strategies and dominating sales tactics. Our reputable clients are expanding, and we are seeking entry-level candidates to join our marketing and sales team as an Account Management Specialist. Our primary...

Job OverviewBlue Shield of California seeks a skilled Operations Leadership Manager to join its Commercial Appeals & Grievances team. In this role, you will be responsible for overseeing daily operations and people management functions, fostering a great work environment, and consulting with management on operational issues.Your ResponsibilitiesManage...

Job SummaryWe are seeking an experienced Healthcare Operations Manager to join our team at Blue Shield of California.About the RoleThe ideal candidate will have a strong background in healthcare management, with experience in care coordination, utilization management, and quality improvement. The successful applicant will be responsible for ensuring that...

Job Title:Certified Asbestos Consultant TechnicianAbout Clear Tech Env:We are an Environmental Consulting Firm seeking a professional to evaluate exposure data and air monitoring results.Salary:$75,000 - $90,000 per yearJob Description:We currently seek a Certified Asbestos Consultant Technician or Certified Asbestos Consultant. The ideal candidate will have...

Company OverviewWe are a leading provider of legal and investigative services in the USA, offering expert support to individuals and businesses.Job Title and SalaryAs an experienced case manager / secretary, you will be responsible for managing existing cases, preparing reports, emailing clients, and answering incoming emails. This is a full-time position...